Provider Demographics
NPI:1023265121
Name:SHAER, RIMA NABIL (DMD)
Entity type:Individual
Prefix:DR
First Name:RIMA
Middle Name:NABIL
Last Name:SHAER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17437 BOONES FERRY RD
Mailing Address - Street 2:STE 200
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-6203
Mailing Address - Country:US
Mailing Address - Phone:503-697-0884
Mailing Address - Fax:503-697-6899
Practice Address - Street 1:9053 SW BEAVERTON HILLSDALE HWY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-2435
Practice Address - Country:US
Practice Address - Phone:503-524-2072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD91351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice